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Is the USMLE Step 1 useless?

Dr. Centor thinks so:

Medical students spend the first 2 years with step 1 anxiety. This is a difficult test, which – in my opinion – adversely influences the teaching of basic science. Medical school leaders design the first 2 years of medical school so that their students have a good chance to pass the test.

We need to know basic basic science to be excellent physicians. But ask most clinicians, and they use little of their basic science education.

Update:
DB with a follow-up post.

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